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Church Assistance Request Form
For Sanctuary members, attenders, and others who are impacted by COVID-19
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Name
*
Your answer
Mobile Number
*
Your answer
Email
*
Your answer
How are you currently impacted by the coronavirus?
*
Your answer
What needs do you have? Food, medicine, supplies, etc. Please be as specific as possible.
*
Your answer
What current support are you receiving?
Your answer
How can Sanctuary staff best support you in this time? check all that apply
prayer
talk to a pastor
Other:
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